Ho Tran Ban, Vuong Minh Chieu, Quynh Thi Vu Huynh, Tri Tran Thanh, Dinh Truong Quang, Linh Truong Nguyen Uy
{"title":"腹腔镜辅助与完全经肛门直肠内牵引技术治疗典型节段性巨结肠病的长期疗效","authors":"Ho Tran Ban, Vuong Minh Chieu, Quynh Thi Vu Huynh, Tri Tran Thanh, Dinh Truong Quang, Linh Truong Nguyen Uy","doi":"10.1007/s00383-024-05924-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.</p><p><strong>Methods: </strong>Longitudinal study.</p><p><strong>Results: </strong>Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.</p><p><strong>Conclusions: </strong>Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"26"},"PeriodicalIF":1.5000,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung's disease.\",\"authors\":\"Ho Tran Ban, Vuong Minh Chieu, Quynh Thi Vu Huynh, Tri Tran Thanh, Dinh Truong Quang, Linh Truong Nguyen Uy\",\"doi\":\"10.1007/s00383-024-05924-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.</p><p><strong>Methods: </strong>Longitudinal study.</p><p><strong>Results: </strong>Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.</p><p><strong>Conclusions: </strong>Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.</p>\",\"PeriodicalId\":19832,\"journal\":{\"name\":\"Pediatric Surgery International\",\"volume\":\"41 1\",\"pages\":\"26\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-12-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Surgery International\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00383-024-05924-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Surgery International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00383-024-05924-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung's disease.
Background: The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.
Methods: Longitudinal study.
Results: Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.
Conclusions: Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.
期刊介绍:
Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children.
The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include:
-Review articles-
Original articles-
Technical innovations-
Letters to the editor